Elbow/wrist/hand Rehab Sports Med

Phase 1 Elbow General Body conditioning ROM – Joint Mobilizations Inferior, anterior and posterior glides – Humeroulnar traction – Passive stretching Low force and long duration Flexion and extension Strengthening – Low resistance, high reps Flexion, extension, pronation, supination, grip, and shoulder

Phase 1 Wrist/Hand General Body Conditioning ROM – Traction, joint mobilizations – Stretching PROM Extension, flexion Strength – Towel/flex bar twists – Wrist roll – Flexion and extension (no or decreased weight) – Ulnar/radial deviation (no or decreased weight) – Pronation/supination (no or decreased weight) – Grip Web, stress ball, machine, rubberbands Neuromuscular control – Coin pickup – Tying shoes/knots – Buttoning buttons

Phase 2 Elbow General body conditioning Proprioception Strengthening – PNF, Isokinetic – PRE Tubing, weights, or manual resistance ROM – Joint mobilizations – Stretches

Phase 2 Wrist/Hand General Body Conditioning ROM – Traction, joint mobilizations – Stretching AROM Extension, flexion Strength – Towel/flex bar twists (thicker bar) – Wrist roll (more weight) – Flexion and extension (dumbbells/bands) – Ulnar/radial deviation (dumbbells/bands) – Pronation/supination (dumbbells/bands) – Grip Web, stress ball, machine, rubberbands Neuromuscular control – Coin pickup – Handwriting – Buttoning buttons

Phase 3 Elbow General Body Conditioning Functional Progressions – Swimming – Throwing – Pushups – Sitting pushup – Weight shifting on ball

Phase 3 Wrist/Hand General Body Conditioning Sports specific activities Full grip strength is goal